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D58 ICD-10-CM Code: Other hereditary hemolytic anemias

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89) / Hemolytic anemias (D55-D59)

D58

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other hereditary hemolytic anemias

Other hereditary hemolytic anemias

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
D5Hemolytic anemias (D55-D59)
D58Other hereditary hemolytic anemias

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D58 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D58 in this effective period.

Related Child Codes

Official
D58.0Hereditary spherocytosis
D58.1Hereditary elliptocytosis
D58.2Other hemoglobinopathies
D58.8Other specified hereditary hemolytic anemias
D58.9Hereditary hemolytic anemia, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for D58 in this effective period.

Excludes 1

Official
  • hemolytic anemia of the newborn (P55.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D58 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D58 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D58 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

D58 is the ICD-10-CM diagnosis code for other hereditary hemolytic anemias. D58 sits in the ICD-10-CM chapter for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (d50-d89), within the section covering hemolytic anemias (d55-d59).

Header codes like D58 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D58's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D58 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • hemolytic anemia of the newborn (P55.-)

Child Codes

Code Hierarchy

D58Other hereditary hemolytic anemias
D58Other hereditary hemolytic anemias

Work D58 in HCC Buddy

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